| Doctor Name: | ROGER W BROOKE |
| NPI Number: | 1265488837 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PS007832L |
| Business Practice Address: | 224 Penn Ave Suite 2a Wilkinsburg, PA - 152212154 |
| Business Phone Number: | 4123717330 |
| Business Fax Number: | 4122424732 |
| Mailing Address: | 224 Penn Ave, Suite 2a WILKINSBURG |
| State: | PA |
| Postal Code: | 152212154 |
| Phone Number: | 4123717330 |
| Fax Number: | 4122424732 |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 07/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS007832L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |